HomeMy WebLinkAbout2190 W Drake Rd - Permits/Tenant Finish - 06/03/1983_.,;�'�sz -x v ... �.,� ..... ..� �— 7s"•YT' -.- v..-: a �. ly"v-'af�•,'+y'.%:..,'�""i'._
1t 7 QT "Port CollinS BUILDING. INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
}
Job Address '1'! E,i '- Vf a 1» �` 1 (
�•- 3
jr.
Name
c
Mail Address
0
1"t1
Phone 4 7-- Z y
`o
Name j41'►sn+t fSs "r�t.rt1`y.
Address ` = kj . vI-) , -1
�^�p
p
U
1
License No. A 4-!-)
Phone L+,,,4
n
Lot
Block
Filing Number
Subdivision "
PUD
m
DESCRIPTION OF WORK',
i
i,.
Stock Options
Plan No. Codes
Est. Total Cost y'
(including labor, material. profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
signed ate
—. CLASS- OF WORK —
New
p
Iteration Additign Demolish Move
❑ P ❑ ❑
Plbg
Me a Flak, Str❑uct. Fire❑Prot.
Occ. Gr. I
Type Const -
Use Zone
Use of Building
Q7, 4'
FloorArea
4-o Height VairI el;,
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
jj{ $pp N♦{' f
` ' 4
I 1 L. 4
Valuation
FEES
Plan Check
C
f 4 J
Permit
of
Parkland
City Sales Ta
St. Oversizing
Water Plant I
vestment
Sewer Plant Investment
Storm Drainage
Electric Un*ground
.
Total fees
S
Off -Street Parking
(No: Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
v
�I
�c
m,
o
�IV
^
N
m
Cn
}
C
0
U.
Street
i
•
O16
I
V
"- - -
ZBACase#
Date
BBA Case #
Date
Building Insp.
Approval r
e..
by ° L
I date
V-5
Aar71